After an accidental exposure to urine during care, what is the next step?

• A. Have blood drawn for an HIV test
• B. Report the incident to the nurse
• C. Fill out an incident report
• D. Obtain a medical evaluation

Answer: (B)

Reporting the incident to the nurse is the immediate step because it triggers the facility’s exposure protocol. The nurse can assess the risk, ensure any immediate safety actions have been taken, and arrange the appropriate follow-up, including medical evaluation if needed and any tests or treatments. This coordinated response protects both you and the patient and ensures proper documentation and next steps are handled through the proper channels.

Filing an incident report and obtaining a medical evaluation are also important parts of the process, but they follow the initial report to the supervisor. Initiating an HIV test yourself isn’t appropriate, since testing and post-exposure procedures are ordered and coordinated by the healthcare team.